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COSMOGI

An ESICM endorsed modified Delphi process.

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Category: GI Motility – distal (small and large intestine)

15 August 2023GI Motility - distal (small and large intestine), GI Motility - upper (oesophagus and stomach)

IAP

Intra-abdominal pressure (IAP) is the pressure inside the abdomen. Normal IAP is 0-5 mmHg, while sustained IAP above 12 mmHg is called intra-abdominal hypertension (IAH), and dangerous levels of swelling and pressure in the abdomen is called abdominal compartment syndrome […]

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15 August 2023GI Motility - distal (small and large intestine)

High resolution manometry

Manometry is a diagnostic technique used to measure pressure within the gastrointestinal tract. It involves the insertion of a thin, flexible tube with pressure sensors along its length into the gastrointestinal tract, typically through the nose or mouth. The tube […]

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15 August 2023GI Motility - distal (small and large intestine)

GI Paralysis

GI paralysis is expressed in the absence of stool passage and may include multiple other symptoms such as abdominal/bowel distension, nausea, vomiting, absence of bowel signs. GI paralysis may lead to severe consequences such as bowel ischemia and/or perforation via […]

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15 August 2023GI Motility - distal (small and large intestine), GI Motility - upper (oesophagus and stomach), Mesenteric arterial circulation, Mesenteric lymphatic circulation

CT-Scan

A diagnostic imaging test that uses X-rays and computer technology to create detailed images of the body. Feasibility/Equipment: Transportation of patient to specific room is needed. Radiation dose is relevant (many times higher than with abdominal x-ray). Contrast media used […]

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15 August 2023GI Motility - distal (small and large intestine)

Bowel Sounds (Frequency, Aspect)

Description: Bowel sounds may indicate peristaltic function and absent bowel sounds may hint paralysis [1]. Absent bowel sounds have been associated with negative outcomes. There is no clear definition and the assessment may be prone to subjectivity. It has been […]

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15 August 2023GI Motility - distal (small and large intestine)

Bowel Dilatation

Bowel dilatation refers to the diagnosis of an increased diameter (> 6cm colonic diameter or > 9 cm for caecum or > 3 cm for small bowels). Dilatation is confirmed radiologically and signs of increased intra-luminal pressure along with increased […]

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15 August 2023GI Motility - distal (small and large intestine)

Acoustic GI surveillance sensor

Acoustic monitoring of gastrointestinal function involves the use of microphones embedded in non-invasive devices that allow continuous and automated analysis of bowel sounds across the acoustic spectrum generated by the migrating myoelectric complex (MMC). 1,2 Feasibility/Equipment: The device is non-invasive and […]

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15 August 2023GI Motility - distal (small and large intestine)

Acetylcholine

Acetylcholine is an anti-inflammatory transmitter in the cholinergic pathway. Plasma acetylcholine levels have been shown to be significantly increased in critically ill patients tolerant to enteral nutrition compared to those with feeding intolerance. It has been suggested that the anti-inflammatory […]

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15 August 2023GI Motility - distal (small and large intestine)

Abdominal X-Ray

A diagnostic imaging test used to visualize the organs and structures in the abdomen. Repeated images with contrast media: a test used to visualize the gastrointestinal tract and assess its motility, often performed multiple times after the administration of contrast […]

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15 August 2023GI Motility - distal (small and large intestine), GI Motility - upper (oesophagus and stomach), Nutrient absorption, Nutrient digestion

Abdominal Distension

Description: Abdominal distension, an increase in abdominal size upon inspection, may indicate increased abdominal volume and bowel distension [1]. Abdominal distension is a non-specific sign. It is impossible to measure in the obese patients and clinical relevance is dependent upon […]

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